This Doctor is Great

Zhou Mo came to the ward again.

Zhou Mo asked the patient's wife, "Has he ever used the toilet? Urine."

Wife: "Not yet."

Zhou Mo: "How long has it been since you went to the toilet?"

The wife hesitated for a moment: "How many hours?"

Zhou Mo: "How many hours?"

The wife was at a loss for words and looked at her husband Zheng Zhengquan.

The patient Zheng Zhengquan hesitated for a while, and said, "It seems that I went to the toilet once after eating a late night snack yesterday, and I haven't been to the toilet until now..."

Zhou Mo secretly said, "That is to say, 18 hours are available."

The patient Zheng Zhengquan nodded: "Yes."

Zhou Mo: "Do you feel urgency now?"

The patient Zheng Zhengquan shook his head: "No."

Kidney failure!

Zhou Mo immediately concluded: There is absolutely something wrong with the patient's kidney!

Because of rhabdomyolysis, renal failure or even acute renal failure will occur, which corresponds to the patient who has not been to the toilet for more than ten hours.

Why does rhabdomyolysis cause renal failure?

The reason is that muscle dissolves, a large amount of myoglobin is released into the blood, and the excess will be filtered out of the glomerulus and enter the renal tubules, causing blockage in the renal tubules, thereby causing acute renal failure.

Then, kidney failure will lead to no urine!

In addition to myalgia + muscle weakness + brown urine or cola urine + renal failure, there are other indicators:

——Creatine kinase will be greatly increased (more than 5 times), which is the most important check for rhabdomyolysis syndrome.

Most of the creatine kinase exists in the human skeletal muscle and cardiac muscle, so the increase of creatine kinase is either skeletal muscle cell destruction or myocardial cell damage.

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Zhou Mo clicked on the ipad,

one look!

Liver and kidney functions have come out.

The first is liver function.

When Zhou Mo was doing liver work, he specifically marked the need for the 'creatine kinase' indicator (big liver work).

Take a look at liver function.

Creatine kinase increased 10 times!

Needless to say, with such a high creatine kinase, there is either a major problem with the heart or a major problem with the skeletal muscle.

Corresponding to the symptoms of Zheng Zhengquan, the patient in front of him, there must be no problem with the heart, only the problem with the skeletal muscles.

Then look at the renal function blood results:

Serum creatinine: 200!

Seeing this result, Zhou Mo was shocked.

This value is already very serious!

Kidney failure no doubt!

And it is the kind that is very serious to the terminal stage!

"The kidney must be sent for dialysis immediately!"

At this point, Zhou Mo no longer has to judge. The patient meets so many conditions for rhabdomyolysis (myalgia + myasthenia + creatine kinase burst + severe renal failure), so what is rhabdomyolysis?

Immediately call the nephrologist.

Have them come and pick up the patient.

This time, it was not a consultation, but a direct transfer.

Zhou Mo lamented for a while: Nima, why is he a patient from another department?

...

at this time,

Outside the Department of Cardiology, Zhou Quan, wait, wait...

It has been more than 2 hours, and Zhou Mo is still busy...

...

I heard someone say that kidney dialysis is required, and the nephrology department soon came.

3 minutes,

The nephrologist rushed to the cardiologist.

Zhou Mo: Rolling his eyes·jpg

After the nephrologist did a detailed examination of the patient, it was finally determined that rhabdomyolysis was caused by drinking a lot of alcohol.

At this time, they showed their experience. The nephrologist asked the patient how much alcohol Zheng Zhengquan drank (Zhou Mo did not ask), and the patient said that he drank 15 bottles of beer.

Nephrologists directly believe that it is not caused by volleyball, but caused by drinking beer.

Now the wife of the patient Zheng Zhengquan is on fire.

Facing Zheng Zhengquan, he cried and cursed.

"I told you not to drink, I told you not to drink, now you know it's wrong? I almost lost my life! ... Woohoo, if you have any good or bad, what should I do with my daughter?"

"I won't drink it next time, I won't drink it next time..."

"Fuck, do you think I'll believe you?"

"I really dare not drink, I dare not drink!"

The wife cried again and again, and the patient Zheng Zhengquan apologized and promised again and again.

Zhou Mo heard a smile on the corner of his mouth.

soon,

The patient was transferred for dialysis.

Dialysis is to use artificial methods to imitate the filtration of human glomeruli, in the case of extracorporeal circulation, to remove excess and harmful substances in human blood, so that the blood can be purified.

(Have you asked a class to represent the big brother, give a picture of dialysis, and let everyone learn?)

send the patient away,

Zhou Mo still has to keep busy, go through the formalities, write the documents... and so on.

28, 29 beds, continue to be vacant.

These two are magical beds.

A big guy, keep an eye on them all the time!

...

at this time,

It was already 19:43.

Outside the Department of Cardiology, Zhou Quan, wait, wait...

It's been almost 3 hours of waiting, and Zhou Mo hasn't left yet!

Hard work! !

I, Zhou Quan, endured humiliation for the sake of the thesis!

...

20:00,

After Zhou Mo was done with everything, he could finally go home from get off work.

Just as Zhou Mo walked out of the duty room and came to the corridor,

"what……"

"Isn't that Doctor Zhou Quan?"

The sharp-eyed Zhou Mo suddenly saw that outside the Cardiology Department, Dr. Zhou Quan was walking around, as if waiting for someone.

"wait for me?"

Zhou Mo thought for a while, went to the duty room to change his clothes, and then left through the back door of the Cardiology Department.

Look at the phone.

Zhou Quan: "Are you off work?"

Zhou Quan: "You haven't gotten off work yet?"

Zhou Quan: "It's already 20 o'clock, are you still busy? Why don't you say something!"

Zhou Quan: "It's 21:00, why don't you get off work?!"

Zhou Quan: "Have you eaten yet?"

...

20:30, Zhou Quan is still waiting...

21:00, Zhou Quan is still waiting...

wait, wait,

In the end, Zhou Quan was a little upset and couldn't bear the humiliation and burden.

He sent a message to Zhou Mo: "It's already 21 o'clock~www.readwn.com~ Are you hungry? I invite you to have a late night snack?"

ding dong~~~

Zhou Mo replied in seconds: "I'm sorry, Doctor Zhou, I left the hospital at 20 o'clock and forgot to check my phone. I'm sorry..."

comprehensive:"………………"

gone?

I stepped on the horse and flipped the table (╯‵□′)╯︵┻━┻!

Enduring the unhappiness, Zhou Quan sent a WeChat message: "Then are you free now? You should be hungry too, and I happen to be hungry too. Please have a late night snack."

Zhou Mo: "I'm sorry, I'm having a late-night snack with other colleagues, so I won't bother you... Doctor Zhou, just say something directly..."

Zhou Quan: "…………, can you not publish your "Gallbladder Syndrome" paper? I submitted it earlier than you, but I didn't submit it the first time. When I submitted it for the second time, I was told that you submitted it. I repeat mine."

He played a trick.

Lied to submit earlier than Zhou Mo!

Zhou Mo: "Dr. Zhou is joking, you can't be earlier than me, if you are earlier than me, even if your manuscript is rejected, mine will also be told the repetition rate and be rejected... After all, journals are strict now. ."

comprehensive:"…………"

fuck!

Zhou Mo actually understood this!

Zhou Quan thought for a while, and finally decided: "Our two papers, if we repeat it, it's not good to tear our faces apart. After all, we are all our own people... Otherwise, you give me the first one, and you make the second one, and then I will compensate you. , how? I heard that your life is a little tight... you know what I mean..."

This time, he wrote a little bolder and more explicit.

compensate you!

give you money!

See if you are heartbroken!

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